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First Aid 

Practice for Factory 

Dispensaries 



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First Aid Practice For 
Factory Dispensaries 

With Some Health Hints 
for Industrial Workers 



Prepared by W.' A.Haldy, M. U. 

for the 

General Service Department 

of the National Lamp Works 

of the General Electric Company 

1914 



Copyright. 1914. by 

Niitii)nal Lamp Works 

of 

General Electric Conipan\ 

Cleveland. (). 






>CI,A3T1730 



IF one could go from bed to bed, and simply 
be the technical engineer of human ma- 
chines, it would be easy; but these machines 
have mothers and wives and notions. One 
has to listen and prescribe for anxiety, and 
splint broken hopes." 

This statement by Doctor S. Weir Mitchell 
is applicable to the physician and nurse alike. 
The work of the physician as well as that of 
the nurse is * "a business which requires ideal 
patience, perfect sweetness of character, and 
sympathetic insight." 

In our Hospitals and Dispensaries the busy 
physician and nurse often lose sight of the fact 
that they can do much toward relieving physi- 
cal suffering by inspiring in the patient a 
feeling of confidence in his medical attendants 
and an assurance that all the agencies are 
being brought to bear that will contribute to 
the speedy relief of his physical disabilities. 

The physician who takes into account the 
racial characteristics of his patient, his home 
environment, the possibilities of trade neuroses 
and the special nervous phenomena incident 
to that particular patient's sex and age has 
the best foundation upon which to base his 
diagnosis, treatment and prognosis. 

* S. Weir Mitchell. 



rr^HIS First Aid Manual has been prepared 
^ expressly for the use of the various branches 
constituting the National Quality Lamp Divi- 
sion of the General Electric Company. 

As a large proportion of the employees of 
these manufactories is women, we have laid 
special stress on suggestions that will make for 
better health among this important group 
of workers. 

In bringing these facts together we can 
claim no originality. We have only attempted 
to more fully meet the needs of a specific 
group of workers. 

The suggestions for First Aid presuppose 
the existence of a well -equipped Dispensary in 
connection with each of our Branches and the 
services of a competent trained nurse. 

We wish to acknowledge our great indebt- 
edness to Dr. G. W. Crile for his valuable 
criticisms and suggestions, to Dr. H. A. Becker, 
who has gone over the whole work and given 
us much assistance in its preparation, to Dr. 
C. C. Stuart for his careful review of the section 
on the Care of the Eyes, to Dr. R. H. Bishop 



for his authoritative contribution to the sub- 
ject of Tuberculosis, and to Dr. Fannie C. 
Hutchins, who has helped us with suggestions 
that have proved of value to her in her medical 
practice among working women. 

We desire to mention our obligation to 
Dr. H. A. Kelly, through whose courtesy we 
are permitted to quote at some length from 
his unique work on Medical Gynecology. 

We are also indebted to the National 
Electric Light Association for permission to 
quote extensively from the leaflet prepared by 
the Association, which deals with the treat- 
ment of patients suffering from electric shock. 



First Aid Practice for Factory Dispensaries 

INDEX 

Page 

Antiseptics 5'2, 53 

Bichloride of Mercury 52 

Tincture of lodin 5'2 

Carbolic Acid 52 

Alcohol 53 

Boracic (Boric) Acid ; 53 

Apoplexy 13 

Bandaging — Triangular and Roller 17 

Triangular Bandage 17 

Broad Sling for Arm 19 

Fo r H e ad 21 

For Hand, Foot and Eye 25-29 

Roller Bandage : 31 

Spiral Bandage 3+ 

Figure of 8 34 

Figure of 8 for Hand 34 

Recurrent Bandage for P^inger 35-37 

Roller Bandage for Eye 38-41 

Bleeding 49 

Bleeding of Nose 51 

Broken Bones (Fractures) 42 

Simple Fracture 42 

Compound Fracture 42 

General Treatment 42 

Upper Arm 45 

Forearm 45 

Thigh and Leg 47 

Burns — General 56 

Burns from Acids and Alkalies 56 

Compression of tlic Brairi 1,'! 

Concussion of the liraiii 14 

Collapse 10 

Cramps . 7(1 

I )isi nfectants 79 

Dislocations 48 

Shoulder .... 48 

Finger 48 

Jaw : 48 



First Aid Practice for Factory Dispensaries 




Page 
60 




55 




... _ 14 


Eye— Foreign Body in 


67-69 


Fire — Precautions 


55 


Headache 


75 


Heat Exhaustion 


i-i 


Hemorrhage 


49 


Moderate 


49 


Severe 


50 




15 




53 


Lice (of Head) 




Menstruation— Painful 




Nail in Foot 


70 










Carbolic Acid 


54 


Respiration, Artificial 

Shock : 


63-66 

10 




76 




43 




70 


Sprains 


49 


Stimulants 


10 


Sunstroke 




Toothache 


70 


Tuberculosis 

Cause. Remedy, precautions, etc 

EQUIPMENT 


57 

81 


Furniture and Instruments 


83-85 

86 




87 






89-93 









First Aid Practice for Factory Dispensaries 

SHOCK OR COLLAPSE 

May follow extensive burns, severe hemor- 
rhage, fractures, dislocations or other injuries. 

Symptoms 

In shock we find the face pale, the body cold 
and clammy, the pulse rapid and weak, breath- 
ing shallow and feeble. 

When reaction takes place, that is, a change 
for the better, the patient usually vomits, the 
])ody becomes warmer and the breathing im- 
proves in character. 

Treatment 

Lower the head, apply heat to the extrem- 
ities, being careful to wrap the hot water bag 
in towels to prevent burning the patient, 
especially if he is unconscious. Place one hot 
water bag over the heart. Cover the patient 
with warm blankets, rubbing the arms and 
legs toward the heart. 



STIMULANTS 

While stimulants are almost universally 
used in case of a fracture, dislocation or other 
accident, their real value, outside of the mental 



First Aid Practice for Factory Dispensaries 

effect, is being questioned. When a stimulant 
is indicated, one-half teaspoonful of aromatic 
spirits of ammonia may be given in two or 
three tablespoonfuls of water, preferably hot 
water. Be sure that the patient is able to 
swallow before attempting to give him any- 
thing to drink. 

FAINTING 

Is the result of the blood being suddenly 
withdrawn from the brain to the interior of 
the body. 

Placing the patient in a recumbent position, 
with the head lowered, favors the return of 
blood to the head. 

Symptoms 

The face is pale, the breathing shallow, the 
pulse weak and slow. 

Treatment 

See that the patient has fresh air, loosen 
the clothing about the neck and abdomen, 
sprinkle cold water on the face and chest. 

Rub the arms and legs toward the heart. 

A mild epileptic seizure may simulate an 
attack of fainting. 



First Aid Practice for Factory Dispensaries 

HEAT EXHAUSTION 

May be due to excessive heat, either outdoors 
or in the house. 

Symptoms 

Are those of shock or coUapse. The skin 
is cold and chimmy, the pulse rapid and weak, 
the breathing shallow and feeble. 

The patient is usually conscious. 

Treatment 

Remove the patient to a cool i:»lace, lower 
the head, cover the body with warm blankets, 
apply heat to the extremities, rubl)ing the arms 
and legs toward the heart. 



SUN STROKE 

Symptoms 

The skin is hot and dry, tlie breathing 
rapid and noisy, and the patient usually 
unconscious. 

Treatment 

Remove the patient to a cool place, apply 
an ice bag to the head, and reduce the high 
tem])erature l)y sponging with cold water. 



First Aid Practice for Factory Dispensaries 



keeping up constant friction to bring the over- 
heated blood to the surface. 
No medication is needed. 



APOPLEXY 

Is caused by the bursting of a blood vessel in 
the brain. 

Symptoms 

The patient is usually unconscious, his face 
is flushed and his breathing noisy. There is 
partial or complete paralysis of one side of 
the body. 

If the leg or arm of the affected side is 
lifted, it falls perfectly limp. 

Treatment 

Turn the patient on the paralyzed side. 
Elevate the head slightly. Keep the patient 
as quiet as possible, apply an ice bag to the 
head. Give no medicine. 



COMPRESSION OF THE BRAIN 

Is usually the result of an injury to the head, 
which causes a depressed or broken fragment 
of the skull or a blood clot from a ruptured 
artery, to press on the brain. 



First Aid Practice for Factory Dispensaries 

Symptoms 

Are similar to those of apoplexy. 

Treatment 

If there is an open wound, l)andage with 
sterile dressings. Apply an ice bag to the 
head, which should be slightly elevated. Dis- 
turb the patient as little as possible. 

CONCUSSION OF THE BRAIN 

Is a jarring or shaking of the brain substance 
and may be caused by a blow or a fall upon 
the head. The patient is merely stunned or 
may be in a condition of shock. 

Treatment 

Place the patient on his back. Raise the 
head slightly, apply cold to the head and heat 
to the feet. 

EPILEPSY 

Is sometimes called Falling Sickness. 

Symptoms 

The patient gives a short cry and falls 
unconscious. There are mild or severe con- 
vulsive movements of a ])art or the whole of 
the l)odv, lasting for a few nionuMits. 



First Aid Practice for Factory Dispensaries 

The frothy saHva may be blood-tinged, 
due to the biting of the tongue. Following an 
attack the patient is often much confused and 
ma}^ l)e dangerous to himself or others. At 
other times he falls into a sound sleep. 

Treatment 

There is very little to be done at the time 
of the convulsion, except to loosen all bands 
about the neck and waist and prevent the 
patient from biting his tongue, by inserting a 
stick or handle of a knife between the back 
teeth. 

No medication is required. 

HYSTERIA 
Symptoms 

An attack usually begins with causeless 
sobbing, screaming or laughing. It may 
simulate epilepsy. 

If the patient falls, it is usually in a com- 
fortable place. The tongue is rarely bitten. 

Treatment 

When assured that the attack is hysterical, 
the patient should be made comfortable and 
left entirelv alone. 



Firnt Aid Practice for Factory Dispensaries 



^ mm 




Triangular Bandaiie as Slinji for Broken Arm 
or Dislocated Shoulder 



First Aid Practice for Factory Dispensaries 


BANDAGES 




Are Used 




To hold dressings and splints in 


place. 


As slings. 




To make pressure. 




The triangular and roller ban 
those most generally used. 


dages are 


Triangular Bandage 




Fold a piece of muslin, thirty-six or thirty- 
eight inches square, diagonally and cut along 
the fold, thus dividing it into two triangular 
pieces. Each bandage has one long and two 
short borders. The corner at the junction of 
the two short borders is called the point and 
the other two are called the ends. The tri- 
angular bandage may be applied 


1. Unfolded. 




2. Folded. 




In the unfolded form the bandage is 
applied, just as it is, to the part. A good 



First Aid Practice for Factory Dispensaries 



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Triangular Bandage for Broken Arm 



First Aid Practice for Factory Dispensaries 

example of its use is the arm sling, for which 
see pages 16 and 18. 

By folding this bandage longitudinally 
upon itself three times a narrow bandage or 
cravat is obtained. The point of the triangle 
is brought to the middle of the long border 
for the first fold and then folded twice more 
lengthwise upon itself. This can be used in 
bandaging the eye (see pages 28 and 29) or as 
a sling to support the wrist in an injury of 
the upper arm. 

Only a few of the many uses to which the 
triangular bandage may be adapted will be 
mentioned. 



Broad Sling for Arm 



With the forearm of the injured member 
resting across the chest, the point of the trian- 
gular bandage is applied under and below the 
elbow. One end being brought over the 
shoulder of the well side, the other is brought 
over the forearm and shoulder of the injured 
side and the ends tied at the back of the neck. 
The point is then brought forward over the 
arm and pinned in place. 



First Aid Practice for Factory Dispensaries 



«-. ^4 




Triangular Bandage of Head, First Operation 



First Aid Practice for Factory Dispensaries 



Head Bandage 

(See pages 20, ii and 23) 

Turn up the long border of the triangular 
bandage about an inch and a half, placing this 
border above the eyebrows, having the point 
hang over the back of the head. Crossing the 
ends under the most prominent part of the 
head behind, bring them forward and tie over 
the forehead. 

The point at the back is brought up and 
pinned over the top of the head. 

The triangular bandage may be used as a 
combination head and eye bandage, by placing 
the long border obliquely over the eye, the 
technique otherwise being the same as for a 
simple head bandage. 



First Aid Practice for Factory Dispensaries 







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Triangular Bandage of Head, Second Operation 



First Aid Practice for Factory Dispensaries 




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Triangular Bandage of Head. Complete 





First Aid Practice for Factory Dispensaries 



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Triangular Bandage of Hand, First Operation 



Fir.if. Aid Practice for Factory Dispensaries 







Triangular Bandage of Hand, Second Operation 



Hand Bandage 

(See pages H, 'iS and 26) 

The hand is placed palm down, in the 
center of the triangular bandage, with the 
fingers toward the point. The point of the 
bandage is brought over the back of the hand. 



First Aid Practice for Factory Dispensaries 




Triangular Bandage of Hand. Complete 

the ends of the bandage are crossed over the 
l)()int and tied around the wrist. 

Foot Bandage 

The foot liandage is practically a du})licate 
of the hand bandage. 



First Aid Practice for Factory Dispensaries 




Triangular Bandage of Foot, Complete 



First Aid Practice for Factory Dispensaries 




Folded Triangular Bandage for the Eye Cravat) 
First Operation 



First Aid Practice for Factory Dispensaries 




Folded Triangular Bandage for the Eye (Cravat), Complete 

Eye Bandage, Folded 

(See pages 28 and 29) 

Make a cravat of the triangular bandage, 
by folding it over lengthwise three times. 
Place the bandage obliquely over the eye, 
crossing it under the most prominent part of 
the head behind. Then bring the ends around 
and fasten in front. 



First Aid Practice for Factory Dispensaries 



ROLLER BANDAGES 

The best roller bandages are made of gauze 
or cheese cloth. 

Bandages one or two inches wide are most 
commonly used. One-inch bandages are suit- 
able for fingers. Bandages two inches wide are 
most often used for the head and extremities. 

The roller bandage may be fastened by a 
pin or a strip of adhesive plaster. If the 
bandage covers a part of small circumference, 
as the wrist or ankle, the end may be slit 
lengthwise for several inches and the divided 
ends, having been tied once, are brought 
around the part and knotted. 

When applying a bandage to an extremity, 
see that the limb is placed in the position it is 
to occupy when the dressing is completed. 
Bandages applied by the inexperienced are 
often drawn too tight. 

A moist bandage will shrink when dry. It 
must be borne in mind that an injured limb 
will probably swell more or less after the first 
bandage has been applied. Great care should 
be taken to see that there is not too great 
pressure from a tightly-drawn bandage. When 
bandaging the extremities the tips of the 
fingers and toes should be left exposed, if 
possible. If they become blue and cold, the 



Fir.st Aid Practice for Factory Dlapensaries 




Roller Bandage for Hand, Second Operation 



bandage should be loosened at onee. Wiien 
bandaging an arm or leg, begin at the ])art 
furthest from the bcidv. 



First Aid Practice for Factory Dispensaries 



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Roller Bandage for Hand, Complete 



Fir.s-t Aid Practice for Factory Dispensaries 

Spiral Bandage 

The spiral bandage is used where there is a 
fairly uniform circumference, as on the finger, 
the arm or the wrist. Apply the bandage over 
the dressing, having each new turn of the 
binder overlap the preceding turn by one- 
half or one-third of the width of the bandage. 

Figure of 8 Bandage 

Tliis form of bandage may be used about 
joints. It consists of a series of oblique turns 
which cross at the joint, i. e., the middle of 
the figure 8 is at the joint. Each turn overlaps 
the preceding one by one-half or two-thirds 
its width and alternately ascends and descends. 

Figure of 8 Bandage for Hand 

(See pages 30, 3-2 and 33) 

Fix the bandage by two turns around the 
wrist, then go directly across the back of the 
hand, across the palm of the hand and again 
()\'er the back of the hand inside of the thumb, 
crossing the first ol)liciue turn and passing 
around the wrist. Continue as before, each 
turn slightly overlapping the preceding one 
l)v about one-lialf the width of the liandaue. 



First Aid Practice for Factory Dispensaries 




Finger Bandage, First Operation 

Recurrent Bandage for Finger 

(See pages 35, 36 and 37) 

Use a one-inch bandage. Cover l)ack and 
front of the finger longitndinally, passing 



First Aid Practice for Factory Dispensaries 




f 




Finger Bandage, Second Operation 

bandage back and forth over tip of finger two 
or three times. Then start at the extremity- 
of the finger, change direction and wind around 
tlie finger, working toward the base, making a 



First Aid P^ractice for Factory Dispen.taries 



i 



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/ Ni>-^^ v^;;«. 



Finger Bandage, Complete 

figure of 8 bandage or a simple spiral. After 
bandaging the finger, carry a figure of 8 turn 
around the wrist to hold the bandage on the 
finger, ending with one turn around the wrist. 



First Aid Practice for Factory Dispensaries 



m 



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Roller Bandage for Head or Eye, First Operation 

Roller Bandage for Eye 

(See pages 3S, :i!), 40 and H) 

Begin at the temple over injured eye, mak- 
ing two turns completely around the head 



First Aid Practice for Factory Dispensaries 




Roller Bandage for Head or Eye 
Second Operation 



First Aid Practire for Fartorij Di.spenf 




Roller Bandage for Head or Ey< 
Third Operation 



40 



First Aid Practice for Factory Dispensaries 




Roller Bandage for Head or Eye, Complete 

to fix the bandage. Bring the bandage under 
prominence at the back of the head, then 
under the ear on the side afTected and obhquely 
over the injured eye to the forehead. Hold 
the bandage with the forefinger and reverse 
it again, going below prominence at back of 
head, below the ear and over the eye as before. 
A complete turn around the head is made 
at the end, to hold the reversed turns firmly 
in place. 



Firbt Aid Practice for Factory Di.spensarics 



FRACTURES 
Simple Fracture 

In a simple i'ractiire the broken bone does 
not communicate with the air, the skin 
being intact. 

Compound Fracture 

The fractured l)one communicates with 
the air. There is a laceration of the soft parts 
covering the injured bone. 

In the handling of a simple fracture, the 
sharp ends of the broken bone may pierce the 
nniscles and skin and ponvert a simple into a 
compound fracture. This greatly complicates 
matters on account of the danger of infection 
through the open woimd. 

Symptoms of Fracture 

Pairi and tenderness at site of injury. 

Los-s of power to use injured member. 

Deformiti) is sometimes noticeable at once. 

Swelling of injured parts. 

Graihuj may be felt or heard when the 
ends of the broken bone are rubbed together. 
This sign should not be sought by the inex- 
perienced. 

Treatment of Fracture 

Care should be taken not to convert a 
simple into a compound fracture by careless 



First Aid Practice for Factory Dispensaries 

handling of the injured member. Do not move 
the patient until the broken bone is properly 
protected. 

Make the patient as comfortable as pos- 
sible. In moving the injured limb elevate it 
as a whole upon the palms of the hands, with 
one hand on either side of the point of fracture. 
If the patient must be moved before the 
arrival of the surgeon and the broken bone is 
badly out of place, try to set the fracture by 
gently pulling or drawing the two ends of the 
bone into position before applying the splints. 

The wound, in a compound fracture, should 

be cleansed with liquid antiseptic soap and 

boiled water, followed by a 1/5000 solution of 

bichloride of mercury, and sterile dressings 

applied. ^ , . 

Splints 

Are supports to prevent the movement of 
broken bones. They are made of thin boards 
which should be slightly wider than the part 
to which they are applied and should generally 
extend beyond the joints both above and 
below the seat of the fracture. 

The splints should be well covered with 
sheet wadding or cotton. 

Splints should be held in position by an 
assistant while they are fastened into place 



/'/;•*■/ Aid Practice for Factory Dispensaries 





Splints for Fracture of Upper Ann 



First Aid Practice for Factory Dispensaries 

with adhesive plaster or bandage. Care shoukl 
be taken not to draw. the bandage too tight, 
when a sphnt is first put on. 

In case the proper materials are not at 
hand, an umbrella, cane or a lath will make a 
good emergency splint. A piece of blanket, a 
shawl or other article of clothing may be used 
as ])adding. 

For Fracture of Upper Arm 

(See patre 44) 

Two shingles, well padded, will make good 
splints for this purpose. Have one splint reach 
from the shoulder to the elbow, the other 
from the armpit to the elbow. 

The location of the fracture determines 
whether the splints shall be applied to the 
inner and outer sides or to the back and front 
of the arm. 

If the fracture is at the middle or u])])er 
third of the bone, apply the splints to the 
inner and outer sides of the arm, as shown on 
page 44. If the break is near the elbow, place 
splints at the back and front of the bone. 

Support the forearm by a roller or cravat 
bandage. 

For Fracture of Forearm 

Two well-padded splints are applied, one 
on the outer side of forearm reaching from 



First Aid Practice for Factory Dispensaries 

the back of the hand to the elbow, the other 
on the inner side, reaching from the elbow to 
the palm of the hand. Secure in place with 
adhesive strips or bandage. 

Support the forearm across the chest by a 
large sling, having the palm of hand turn in 
and the thumb up. (See pages 16 and 18.) 

For Fracture of Thigh 

A well-padded splint should reach from the 
armpit to the foot and should be bandaged to 
the chest as well as to the leg. 

Another shorter splint should be applied to 
the inner side of the leg, reaching from the 
crotch to the foot. Where the shorter splint is 
not available, the uninjured leg may be band- 
aged to the fractured one, thus serving as an 
emergency splint. 

For Fracture of Leg 

Two well-padded splints should be bandaged 
loosely, one on the outer and the other on the 
inner side of the leg. 

A pillow bandaged or strapped around the 
injured member provides a good support. If 
it is reinforced by splints placed outside the 
pillow on the under, inner and outer sides of 
the leg, greater protection is afforded. (See 
page 46.) 



First Aid Practice for Factory Dispensaries 

DISLOCATIONS 

The joint looks different from the corre- 
sponding joint on the opposite side of the body. 
There is Hmited motion. 

Dislocation of Shoulder 

Is the most common of all dislocations. The 
shoulder is flattened, the elbow stands out and 
cannot be brought to the side. 

Treatment 

Apply an ice bag or cloths wrung out of hot 
water to the shoulder, pending arrival of 
surgeon. 

Dislocation of Finger 

One should not attempt to reduce a dis- 
location of the second joint of the thumb but 
should wait for the surgeon. Dislocations of 
the other finger joints are comparatively easy 
to reduce. 

Grasp the finger firmly and pull from the 
hand. 

iVpply a splint. 

Dislocation of Jaw 

Often due to yawning. 

Symptoms 

The moutli cannot be closed. 



First Aid Practice for Factory Dispensaries 

Treatment 

The jaw should be firmly grasped by both 
hands, the thumbs of which, well wrapped with 
bandage, are placed upon the lower teeth. 

Pressure is made downward and backward. 
The thumbs are liable to be caught when the 
lower jaw snaps into place. Care should be 
taken to slip them to the inner side of the 
cheeks before they are caught between the 
teeth. A bandage may not be necessary. The 
jaw should be kept at rest for a few days, the 
patient taking only liquid nourishment. 

SPRAINS 

Are caused by an injury to the ligaments of 
the joint. 

The ankle is most frequently injured. 

Elevate the limb on a pillow and apply 
heat or cold to the joint. 

HEMORRHAGE 

When the hemorrhage is from an artery 
the blood is bright red and spurts; when from 
a vein it is dark red and flows slowly and 
steadily. 

Moderate Hemorrhage 

Turn the clothing well })ack from the 



First Aid Practice for Factory Dispensaries 

wound. If the case is urgent the clothing may 
be cut or torn away. Press a sterile gauze 
compress into the wound and bandage firmly 
into place. This will usually check a moderate 
hemorrhage. 

Hot (not scalding) water ai)plied to the 
wound may stop the bleeding. 

Severe Hemorrhage 

The ])atient may be in a condition of shock. 
The hands and feet are cold, the pulse rapid 
and feeble, the breathing shallow and sighing, 
with frecjuent yawning. 

In injury of the head, elevate the head and 
shoulders. In hemorrhage from other parts of 
the body j^lace the patient in a recumbent 
position, with the head lower than the body. 

Where possible make firm pressure upon 
the bleeding artery between the bleeding point 
and the heart. As soon as possible a rubber 
band or ])iece of rubber tubing may be tied 
around the limb between the wound and the 
heart. As this cuts off the supply of blood 
from below the ])oint of pressure and would 
cause gangrene of the extremity, if allowed to 
remain on too long, the band should be loos- 
ened (but not removed) at the end of half an 
hour, to allow the l)lo()(l to circulate ayain. 



First Aid Practice for Factory Dispensaries 

A necktie, suspender, towel, belt or hand- 
kerchief makes a good emergency tourniquet. 
Apply a pad or roller bandage over the point 
where pressure is to be made and tie the hand- 
kerchief loosely around the limb and pad. 
Insert a stick under the handkerchief and 
twdst it until the handkerchief is just tight 
enough to control the hemorrhage. 

In hemorrhage from a vein, make pressure 
over the vein on the side of the wound furthest 
from the heart. 

The hemorrhage is quickly controlled by 
plugging the wound with sterile gauze, band- 
aged firmly in place. 

Apply hot water bottles to the extremities 
and cover the patient with warm blankets. 

NOSE BLEED 

Apply an ice bag to the back of the neck 
and ice cold applications to the nose. Elevate 
the arms above the head. The nostrils may 
be compressed. If this is not sufficient the 
nostrils may be plugged with strips of sterile 
gauze or linen, one-half inch wide and six or 
eight inches long, leaving a short end hanging 
out, by which later the plug may be removed. 

Do not allow patient to blow the nose for 
some time after the hemorrhage has ceased. 



First Aid Practice for Factory Dispensaries 



ANTISEPTICS 

Bichloride of Mercury 
(Corrosive Sublimate) 

Dissolve a 7>2-grain tablet in a i)int of 
boiled water to make a 1/1000 solution. One 
7>^-grain tablet to 5 pints of water makes a 
1/5000 solution, etc. Adding four parts of 
water to one part of 1/1000 solution makes a 
1/5000 solution. For ordinary surgical dress- 
ings a 1/5000 or even 1/10000 solution is of 
sufficient strength. 

Solutions of corrosive sublimate corrode 

metals, therefore they should not be used in 

tin basins and instruments should not be 
immersed in them. 

Tincture of lodin 

A two per cent alcoholic solution of tincture 
of iodin makes a good antiseptic for small 
woiuids or for skin disinfection. 

Carbolic Acid 

Is not generally used in the treatment of 
wounds. It is used to disinfect instruments in 
the strength of \/'i(). This solution is made bv 



First Aid Practice for Factory Dispensaries 

adding 1^4 tablespoonfuls of 
acid to a pint of boiled water. 

Alcohol 

Is a good antiseptic. 

Boracic (Boric) Acid 

Is a weak but soothing antiseptic. It may 
be used for inflamed eyes. A saturated solu- 
tion is made by adding five teaspoonfuls of 
boracic acid to a pint of boiled water. 

INFECTION OF WOUNDS 

Germs which may cause infections are 
practically everywhere, on the hands, on furni- 
ture, or on clothing. We generally regard the 
air as germ-free. Until the hands have been 
sterilized, do not touch a wound. If possible 
handle the sterile dressings only with instru- 
ments that have been boiled. The exposure 
of a wound to the air is safer than its protection 
with an infected dressing. Before dressing a 
wound the hands of the attendant should be 
thoroughly scrubbed with green soap and 
water for several minutes, then soaked for 
three minutes in a solution of 1/3000 bichloride 
of mercury. To be absolutely safe, rubber 



First Aid Practice for Factory Dispensaries 



gloves should be worn, which have been boiled 
for two or three minutes. If haste is required 
the hands may be thoroughly washed with 
cotton soaked in alcohol. 



POISONS 

Neutralize the poison with milk, raw eggs 
or flour and water. An emetic is generally 
required, except when a strong acid or alkali 
has been swallowed. Aromatic spirits of 
ammonia may be indicated. 

CARBOLIC ACID POISONING 

Symptoms 

The mouth and lips are burned white. The 
odor of carbolic acid is noticed about the 
patient. 

Treatment 

Give one hea])ing tablespoonful of Epsom 
salts dissolved in a glass and a half of water, 
followed in five minutes by the whites of two 
eggs beaten up in a glass of milk. 

No emetic is reciuired. 

A])i)ly i)ure alcohol to the burns about 
the mouth. 



First Aid Practice for Factory Dispensaries 

EMETICS 

One teaspoonful of mustard or salt to a 
glass of warm water will often cause vomiting. 

Tickling the back of the throat with a 
pencil or feather will hasten matters. 

One to two tablespoonfuls of syrup of 
ipecac may be used. 

FIRE 

Chief Wallace of the Cleveland Fire Depart- 
ment says: 

"The Fire Department is usually called 
too late. If you smell smoke and suspect fire, 
do not waste time in trying to find it. Call 
the Fire Department at once. Do not try to 
put out the fire before calling in aid. If the 
fire is out before the Fire Department arrives, 
so much the better." 

Where Fire Exists 

Close doors and windows to prevent a 
draft. The air nearest the floor is compara- 
tively free from smoke. 

To prevent inhaling the smoke, tie a wet 
cloth over the mouth and nose. 

If the clothing is afire, do not allow the 
sufferer to move or walk about. Throw him 



First Aid Fracfice for Factory Diapen.mries 

on the floor and roll him in a blanket, rug, 
or coat. 

BURNS 

Apply sterile gauze saturated in a 3% 
solution of carbolic acid in glycerine. Cover 
the gauze with cotton and retain in place with 
a bandage. 

Vaseline or boracic acid ointment spread 
on lint or muslin may be used on the burns, 
if the glycerine and carbolic acid solution is 
not available. A solution of baking soda in 
water, one teaspoonful to the pint, is soothing; 
gauze maybe soaked in the solution and applied. 

Do not open the blisters. 

ACID AND ALKALI BURNS 
Acid Burns 

Wash off as quickly as possible with water. 
Then neutralize with lime water or a solution 
of baking soda in water or with soap suds. 
Apply boracic acid ointment. 

Alkali Burns 

Wash off with water. Neutralize the 
alkali with some weak acid, as vinegar or 
lemon juice. 

Api)ly boracic acid ointment. 



First Aid Practice for Factory Dispensaries 

^TUBERCULOSIS 
Its Cause 

Tuberculosis, or Consumption, is caused 
by a very small organism, known as the 
Tubercle Bacillus, which is present in the 
consumptive's spit. The spit dries and the 
germs, scattered in the dust, are inhaled into 
healthy lungs and there reproduce the disease. 

How to Keep from Getting 
Consumption Yourself 

Keep as well as possible, for the healthier 
your body, the harder for tuberculosis germs 
to grow therein. To keep healthy, observe 
the following rules: 

Avoid living, studying or sleeping in rooms 
where there is no fresh air. Fresh air and sun- 
light, nature's best disinfectants, kill tubercle 
bacilli and other germs causing disease; so 
have as much in your room as possible. 

Do not live in dusty air; keep the rooms 
clean, but do not sweep or dust with dry 
brooms or cloths. Get rid of dust by cleaning 
with damp cloths and mops. 

Obtain fresh air by keeping one window in 
your bedroom partly open all night long, and 
air the room two or three times a day. 

*R. H. Bishop, M. D. 



First Aid Practice for Factory Dispensaries 

Always wash your hands before eating. 

Take a warm bath with soap at least once 
a week. 

Do not neglect a cold or a cough, but go to a 
doctor or a tuberculosis dispensary. THERE IS 
DANGER IN DELAY. 

How to Get Well If You Have 
Consumption 

If yon or anyone in yoiu' family have 
tuberculosis, you should obey the following- 
rules if you wish to get well: 

Money spent on patent medicines or adver- 
tised consumption cures, is wasted. Go to a 
doctor or dispensary. If you go in time, you 
can be cured; if you wait, it may be too late. 

Do not drink wdiiskey or alcohol in any 
form except on a doctor's prescription. 

Do not sleep in the same bed with anyone 
else and, if possible, not in the same room. 

Good food, fresh air and rest are the best 
medicines for consumption. So keep out in the 
fresh air and in the sunlight as much as possible. 

Your windows should be kept open winter 
and summer, day and night. If properly 
covered up you will not catch cold, and the 
cold air actually stops the cough. 



First Aid Practice for Factory Dispensaries 

If you can be admitted to a sanatorium, 
accept the offer at once, before it is too late. 

How to Avoid Giving Consumption 
to Others 

Many grown people and children have 
pulmonary tuberculosis, or consumption, with- 
out knowing it and can give it to others. 
Therefore every person, even if healthy, should 
observe the following rules: 

Do not spit on the sidewalks, playgrounds, 
or on the floor or hallways of your home or 
factory. It spreads disease, and is dangerous, 
indecent and against the law. 

Always spit into a paper cup or into paper 
napkins or old cloths. These should not be 
used a second time, but should be, at once, 
put into a paper bag, which should later be 
burned with its contents. If you have no cup 
or napkin, spit in the gutter. At home use a 
spittoon half filled with water. 

Do not cough or sneeze without holding a 
handkerchief or your hand over your mouth 
or nose. 

A person who has pulmonary tuberculosis, 
or consumption, is least dangerous to those with 
whome he lives and works, if he sleeps alone and 
is careful and clean. 



First Aid Practice for Factory Dispensaries 

*ELECTRICITY 
Treatment for Electric Shock 

An electric shock usually does not kill at 
once, but may only stun the victim and for a 
while stop his breathing. 

The shock is not likely to be immediately 
fatal, because: 

(a) The conductors may make only a 
})rief and imperfect contact with the body. 

(&) The skin, unless it is wet, offers high 
resistance to the current. 

Hope of restoring the victim lies in prompt 
and continued use of artificial respiration. 
The reasons for this statement are: 

(a) The body continuously depends on 
an exchange of air, as shown by the fact that 
we must breathe in and out about fifteen times 
a minute. 

(b) If the body is not thus repeatedly 
supplied with air, suffocation occurs. 

(c) Persons whose breathing has been 
stopped by electric shock have been restored, 
in some instances, after artificial respiration 
has been continued for an hour or more. 

* The Commission on Resuscitation from Electric Shock. 

(Copyrifcht, 1!)1'2, National Electric Light Association. 1 



First Aid Practice for Factory Dispensaries 



Instructions for Resuscitation 

Use These Instructions Even If the Victim 
Appears Dead 

I. Break the circuit immediately. 

1. With a single quick motion separate 
the victim from the live conductor. In so 
doing, avoid receiving a shock yourself. Many 
have, by their carelessness, received severe 
shocks in trying to disconnect victims of shock 
from live conductors. 

Observe the Following Precautions 

(a) Use a dry coat, a dry rope, a dry stick 
or board, or any other drii non-conductor to 
move either the victim or the wire, so as to 
break the electrical contact. Beware of using 
metal or any moist material. The victim's 
loose clothing, if dry, may be used to pull him 
away; do not touch the soles or heels of his 
shoes while he remains in contact — the nails 
are dangerous. 

(6) If the body must be touched by your 
hands, be sure to cover them with rublier 
gloves, mackintosh, rubber sheeting or dry 
cloth; or stand on a dry board or on some other 
dry insulating surface. If possible, use only 
one hand. 



First Aid Practice for Factory Dispensaries 



If the victim is conducting the current to 
ground, and is convulsively clutching the live 
conductor, it may be easier to shut off the 
current by lifting him than by leaving him on 
the ground and trying to break his grasp. 

2. Open the nearest switch, if that is the 
quickest way to break the circuit. 

3. If necessary to cut a live wire, use an 
ax or a hatchet with a dry wooden handle, 
or properly insulated pliers. 

II. Send .someone for the nearest doctor. 

This should be done without a moment's 
delay, as soon as the accident occurs, and 
while the victim is being removed from the 
conductor. 

III. Attend instantlji to the vidimus Ijreathing. 

1. As soon as the victim is clear of the 
live conductor, quickly feel with your finger 
deep in his throat for any foreign body (false 
teeth, tobacco). Then begin artificial respira- 
tion at once; every moment of delay is serious. 

•2. Lay the subject on his belly, with arms 
extended as straight forward as possible, and 
with face to one side, so that the nose and 
mouth are free for breathing (see page 6'2). 
Let a helper draw forward the subject's tongue. 



First Aid Practice for Factory Dispensaries 

If possible, avoid so laying the subject that 
any burned places are pressed upon. 

Do not permit bystanders to crowd about 
and shut off fresh air. 

3. Kneel, straddling the subject's hips and 
facing his head; rest the palms of your hands 
on the loins (the muscles of the small of the 
back), with thumbs nearly touching each 
other, and with fingers spread over the lowest 
ribs (see page 62). 

4. With arms held straight, swing for- 
ward slowly so that the weight of your body 
is gradually brought to bear upon the subject's 
(see page 64). This operation, which should 
take from tw^o to three seconds, viust not 
be violent — internal organs may be injured. 
The lower part of the chest and also the 
abdomen are thus compressed, and air is 
forced out of the lungs. 

Now immediately swing backward so as to 
remove the pressure, but leave your hands in 
])lace, thus returning to the position as shown 
on page 62. Through their elasticity, the chest 
walls spring out and the lungs are thus sup- 
plied with fresh air. 

5. After tw^o seconds swing forward again. 
Thus repeat deliberately the double move- 



First Aid Practice for Factory Dispensaries 

ment of compression and release twelve to 
fifteen times a minute — a complete respiration 
in four or five seconds. If a watch or a clock 
is not visible, follow the natural rate of your 
own deep breathing — swinging forward with 
each expiration, and backward with each 
inspiration. 

While this is being done, a helper should 
loosen any tight clothing about the neck, chest 
or waist. 

6. Continue artificial respiration (if neces- 
sary, at least an hour) without interruption, 
until natural breathing is restored, or until a 
physician arri^'es. Even after natural breath- 
ing is restored, carefully watch that it con- 
tinues. If it stops, start artificial respiration 
again. During the period of operation, keep 
the victim warm by applying a proper covering 
and by laying beside his body bottles or rubber 
bags filled with water. The attention to keep- 
ing the patient's body warm should be given 
by an assistant or assistants. 

7. Do not give any licpiids whatever by 
mouth until the })atient is fully conscious. 

8. ^yhere the patient has corsets, these 
had better be removed when possible before 
attem])ting artificial resj)iration. 



First Aid Practice for Factory Dispensaries 

FOREIGN BODY IN EYE 

Close the eye for a few seconds and allow 
the tears to collect. The particle may be 
washed out with the tears. 

If the foreign body is on the upper lid. 
pull it down over the low^er, pushing the lower 
lid up at the same time. This sometimes 
dislodges the foreign body. 

In examining the lower lid, have the patient 
look up as the lid is drawn down. 

To examine the uj)per eyelid, stand behind 
the chair in which the patient is seated, with 
his head thrown back. 

Place a match over the eyelid about half 
an inch from the edge. Pull the lid down by 
the lashes and fold it over the match, making 
very slight pressure downward with the match 
at the same time. (See pages 68 and 69.) 

Remove the particle with the moistened 
tip of a handkerchief or with a bit of cotton 
wound on the end of a wooden toothpick or a 
match, and then moistened. 

Bathe the eye with boracic acid water. 

If it is found that the foreign body in the 
eye is a piece of glass, a physician should be 
summoned at once. 



First Aid Practice for Factory Dispensaries 



WJjf^j^ 




Turning Back the Upper Eyelid (First Operation) 



If the eyes have been exposed to intense 
lii-ht hy the blowing out of a fuse, there may 
he much discomfort, and sometimes pain and 



First Aid Practice for Factory Dispensaries 




Turning Back the Upper Eyelid (Second Operation) 



redness. The eyes should be bathed with the 
boracic acid sohition and hot water and should 
not be used until the inflammation has subsided. 



First Aid Practice for Factory Dispensaries 

SPLINTERS 

Sterilize the end of ])enknife with 5% 
sohition carbolic acid, seize splinter between 
the point of a penknife (inserted beneath 
splinter) and the thumbnail. It is well to 
apply tincture of iodin to the puncture after 
removal of splinter. 

NAIL IN FOOT 

Allow the wound to bleed freely. Remove 
])ressure from the foot, as pressure tends to 
hasten the absorption of the septic material. 
Soak the foot well in a solution of 1/5000 
bichloride solution and apply tincture of 
iodin to the wound. 

TOOTHACHE 

Pack the cavity in the tooth with a small 
])iece of cotton saturated with oil of cloves. 

A dentist should look over the teeth at 
least twice a year. 

The teeth should be brushed after every 
meal. 

CRAMPS 

Where not caused by some serious trouble 
of the appendix, gall bladder, or other abdomi- 



First Aid Practice for Factory Dispensaries 

nal organ, the following remedies may be 
found useful. 

Syrup of Ginger, one-half teaspoonful in a 
little hot water. 

Spirits of Peppermint, ten drops in a little 
hot water. Sip slowly. 

Baking Soda in small doses, where there is 
gastric fermentation. 

A Hot Water Bottle will often bring relief. 

Where the cramps are severe a physician 
should be summoned. 



PAINFUL MENSTRUATION 

By this we mean more than the average 
amount of pelvic discomfort, backache, head- 
ache, general depression, etc., which usually 
accompany the period. 

Causes: 

1 . General ill health. 

2. Displacement or inflammation of womb. 

3. Inflammation of tubes and ovaries. 



First Aid Practice for Factory Dispensaries 

*Treatinent 

Attention to General Health. In all cases 
of dysmenorrhea (painful menstruation) the 
closest attention to general health is indicated. 
In a large proportion of cases the patient will 
show more or less evidence of malnutrition of 
some kind or other, and this should be the 
object of persistent attention. A proper 
quantity of nutritious food is essential, and if, 
as often happens, the appetite is so impaired 
as to make it impossible to consume this at 
ordinary meals, the deficiency should be made 
up by feeding the patient in small amounts 
at frequent intervals. A glass of milk, a cup 
of beef tea, a sandwich, some malted milk, or 
any light nutritious food taken between meals 
and just before going to bed will generally be 
sufficient, and as the general condition im- 
l)roves, the appetite will increase. 

Sleep. A case of the kind under considera- 
tion should always have fully eight hours' 
sleep and more, if possible. In young girls 
who have not attained maturitj^ or in cases 
where the patient is markedly anemic, there 
must always be more, either at night or in 
the davtime. All late hours and excitement 



Medical Gynecology, by Howard A. K. 



First Aid Practice for Factory Dispensaries 

should be avoided, and the greatest care should 
be exercised to prevent over-exertion. 

Fre.'ih Air and Exercise . A considerable 
amount of time spent in the open air is of vital 
importance. The conditions of a woman's life 
in this respect are greatly improved upon what 
they were a generation ago, and a variety of 
outdoor amusements are now open to her. 
Walking, bicycling, or some form of active 
game, such as tennis, golf, or basket ball, are 
very desirable; and some hours spent out of 
doors, in all but inclement weather, should 
form part of the routine of each day. 

Rest. More benefit is derived from rest in 
the treatment of dysmenorrhea than from any 
one other remedy. Absolute rest in bed during 
the periods is essential. Every patient suffer- 
ing from established dysmenorrhea should 
remain in bed for two or three days at each 
menstruation, and whenever it is possible, the 
rest should begin before the appearance of the 
flow. Careful observance of this rule in con- 
junction with other remedies will, in many 
cases, completely relieve the dysmenorrhea, 
and the patient will be able, after some months, 
to resume ordinary habits during menstruation. 
In other cases it will be necessarv to continue 



First Aid Practice for Factory Dispensaries 

the practice of rest in bed for at least the first 
twenty-four hours each time, if the relief from 
suffering is to be permanent. 

Regulation of ihe Bowels. Dysmenorrhea is 
frequently associated with constipation, so 
frequently, indeed, that keeping the bowels 
open, and even a little relaxed at the time of 
the menstrual period, is often most effectual in 
giving relief. I have known one case in which 
perfect relief for several periods was obtained 
by taking a heaping teaspoonful of Husband's 
magnesia every morning for three or four days 
before menstruation. In young girls who 
suffer from dysmenorrhea, it will often be 
discovered on close questioning that there is 
no regular evacuation of the bowels, and that 
the patient is (juite unaware of the importance 
of the habit to either her general health or her 
menstruation. In such cases it is well to focus 
attention upon this ])oint until the constipa- 
tion is overcome, and this will often result in 
entire relief of the menstrual suffering. 



When the pain is very severe at the men- 
strual period, one teaspoonful of Compound 
Elixir Viburnum Opulus (National Formu- 
larv) niav be given. 



First Aid Practice for Factory Dispensaries 

It soiiietinies prevents suffering, if a tea- 
spoonful of the Elixir is given in hot water, 
twice daily (before meals), for a day or two 
preceding period. When menstruation has 
begun, the dose may be increased to one tea- 
spoonful before each meal and the medicine con- 
tinued as long as the patient is uncomfortable. 

In dispensary practice, the Syrup of Ginger 
in half teaspoonful doses, may be given in a 
little hot water. 

If this does not bring relief, the Elixir of 
Ginger may be prescribed. Alcohol in any form 
or patent medicines are not to be prescribed 
for a patient suffering with painful menstrua- 
tion. There is no surer way of contracting a 
drug habit than for a young girl to become 
dependent on some patent medicine or alcoholic 
drink for the relief of the pains of the men- 
strual period. 

HEADACHE 

Is one of Nature's danger signals. Something 
is out of order. The trouble may be with the 
eyes, nose, stomach, kidneys, or other organ. 
Very often some eyestrain will be discovered. 

For temporary relief, heat or cold may be 
ap])lied to the head. A hot mustard foot bath 



First Aid Practice for Factory Dispensaries 

(one tablespoonful of ground mustard to a 
gallon of hot water) may be useful. Apply 
a mustard plaster over the upper part of 
the spine. 

A laxative of one-half teaspoonful of Effer- 
vescent Sodium Phosphate dissolved in one- 
half glass of cold water relieves congestion. 
In so-called nervous headache, 15 to 20 drops 
of Aromatic Spirits of Ammonia in two table- 
spoonfuls of hot water may be sipped slowly. 



SORE THROAT 

A patient with a sore throat should be 
carefully examined. Depress the tongue with 
a wooden tongue depressor, which should be 
thrown away after it is used. 

If white patches are seen on the tonsils or 
pillars of the throat the patient should be sent 
home at once and a physician called. 



Gargle 

A good gargle for a sore throat is made by 
adding a pinch of salt or two teaspoonfuls of 
alcohol to four tablespoonfuls of hot water. 



First Aid Practice for Factory Dispensaries 

as hot as can be comfortably used without 
burning the mouth. Gargle every half hour. 

The cup should be boiled after it has 
been used. 

A Mouth and Nose Wash 

Is made by dissolving one Seller's tablet 
in half a cup of water. 

"SUMMER DIARRHOEA" 

Is generally caused by indiscretion in diet. 
One or two tablespoonfuls of castor oil will 
remove the irritating matter from the stomach 
and bowels. No attempt should be made to 
check the diarrhoea until the bowels have 
been cleared out. 

HEAD LICE 

Moisten the hair with vinegar, thus making 
it easier to remove the nits with a fine tooth 
comb. 

Before retiring tie a towel saturated with 
kerosene oil around the head and leave on 
till morning. 



First Aid Practice for Factory Dispensaries 




FUMIGATOR 



Disinfecting Instruments 



First Aid Practice for Factory Dispensaries 

DISINFECTANTS 
Sunlight 

The value of sunlight as a disinfectant is 
not fully appreciated. It is our greatest ally 
in the war against the germs of disease. 

Formaldehyde Gas 

Is the best general disinfectant. It is 
dispensed in the form of Liquor Formaldehyde 
which is a 40 per cent solution of the gas 
in water. 

Disinfection with Formaldehyde 

Render the room air-tight by filling the 
cracks and crevises about the doors and win- 
dows with strips of cloth. See that every 
register is tightly closed. Move furniture 
away from the walls. See that bureaus and 
desks are open and the shades of the windows 
drawn down. Books maybe suspended on cords. 

Colored fabrics or metals will not be 
injured by the gas. When the room is ready, 
place a Depree formaldehyde fumigator (see 
page 78) in the center of the room, and light 
the wick. This causes the evaporation of 
formaldehyde gas in the little dish above 
the lamp. 

The gas is very irritating to the eyes and 
respiratory passages, and no attempt should 



First Aid Practice for Factory Dispensaries 



be made to enter the room while it is being- 
fumigated. 

Several fumigators will be needed for a 
good-sized room. Keep the room closed for 
six hours. At the end of that time thoroughly 
air the apartment by opening the doors and 
windows. 

Mattresses, heavy clothing and rugs should 
be sent to be steam-cleaned, after they have 
been fumigated. 

The walls should now be gone over with a 
wall paper cleaner. The floors and woodwork 
must be washed with hot water and soap, 
followed by a 1/1000 solution of bichloride. 

Chlorinated lime, a cupful to the pail of 
water, makes an excellent and cheap disin- 
fectant for floors and toilets. In using these 
solutions, the hands should be protected with 
rubber gloves. Where it is not possible to 
use the Depree fumigator, follow the use of 
the soap and water by a spray of 40 per cent 
formaldehyde, using a spray such as is shown 
on page 78. 

Where a person has been exposed to a 
contagious disease and must at once mingle 
with, others, remove the outer clothing and 
spray it thoroughly. The shoes, etc., may also 
be sprayed. 



Equipment 

of 

First Aid 
Dispensaries 



First Aid Practice for Factory Dispensaries 


Dispensary and Rest Room Furniture Lists 




Standard Service Department | 




For 300 Employes 




A 


Dispensary Furniture 




B 


Linens 




C 


Instruments 




D 


Dressings 




E 
F 


Medicines (Internal) 
" Medicines (External) 




G 


" Accessories 






Total Dispensary 


__$464.64 


A 


Rest Room Furniture 




B 


Rest Room Linens 






Total Rest Room 


__$217.10 




Total Rest Room and 

Dispensary Equipment 






.^$681.74 






Square 






Feet 


Fl. 


)or Space Dispensary 


_ 243 


Fl< 
T., 


)or Space Service Storage 

tal Dispensary and Circum- 


_ 42 




adjacent Area 


. 285 


Fl( 


or Space Rest Room 


_ 240 


Fk 


or Space Service Corridor 


_ 175 


To 


tal Rest Room and Circum- 






adjacent Area 


_ 415 




Square 


Cost per 


To 


tal Dis])cnsary, Rest Room Feet 


Sq. Ft. 


ci 


nd Circumadjacent Area^_ 700 


$0.97 




Cost per Capita (Total Employes) 


.^$2.80 



First Aid Practice for Factory Dispensaries 



Dispensary Equipment — Furniture 

A 

1 Instrument and Dressing Cabinet 

(white enamel) 
1 Steel Cabinet (white enamel) 
1 Instrument and Dressing Table 

(porcelain enamel, 24" x 36") 
1 Table (porcelain enamel, 16" x 20") 
1 Nurse's Desk (porcelain enamel, .'36" x 20") 
1 Army and Navy Stretcher 
1 Linen Can 

3 Steel Chairs (white enamel) 
1 Waste Receptacle 
1 Hat and Coat Rack 

1 Mirror with Drawer, Shelf and Towel Rack 
1 Sterilizer (Combination) 
1 Portable Lamp (brush brass finish) 
1 Angle Shade, No. 75 

Total Forwarded $309.96 




First Aid Practice for Factory Dispensaries 



Dispensary Equipment — Furniture 

(Continued) 

Toilet Room 



Brought Forward- 
1 Linen Can 
1 Hat and Coat Rack 
1 Mirror 
1 Six-gallon Justrite Pail 

Total A 



.$309.96 



.$331.04 



Dispensary Linens 

B 

3 dozen Soft Dressing Towels 

marked "DISPENSARY" 
6 " Individual Linen Towels 

marked "DISPENSARY" 
1 " Turkish Wash Cloths 

marked "DISPENSARY" 
" Markings "DISPENSARY" 

Total B $17.-20 




First Aid Practice for Factory Dis'pensaries 


INSTRUMENTS 
c 

2 Scalpels, Blade 1 and l^i" 


1 Graefe Cataract Knife 


1 pair Bandage Scissors, 7" 


1 pair Gauze Scissors 


1 pair straight Scissors (Surgical) 


1 Combination Eye Spud and Needle 


yi dozen Kelly's Haemostats 


1 pair Splinter Forceps 


1 Thumb Forceps, 5" 


1 Thumb Forceps, 10" 


1 Tissue Forceps, 5" 


1 Mathiew's Needle Holder, 634" 


1 Silver Probe 


3 tubes Catgut No. 1, plain with needle 


6 tubes silkworm Gut, fine and medium with 
needle 


3 tubes Silk, No. 1 with needle 


3 tubes Silk, No. 2 with needle 


Total C $19.25 





First Aid Practice for Factory Dispensaries 



DRESSINGS 

D 

5 lbs. Sterile Cotton 

Two 1-lb. cartons 
Four M-lb. cartons 
Four 3 4 -lb. cartons 
1 carton, S.a-yard Sterile Gauze 
1*2 cartons, 1-yard Sterile Gauze 
.5 lbs. Gauze Bandages (assorted 1", 2", 3") 
1 roll 36" Bandage 
1 roll 1" Zinc Oxide Adhesive Plaster 
1 roll 2" Zinc Oxide Adhesive Plaster 
^ lb. Flexible Collodion 
12 Sheets Wadding 
5 yards Unbleached Muslin (for slings) 
1 dozen Yucca-wood Splints 

Total D $11.02 




First Aid Practice for Factory Dispen 


mries 






MEDICINES 








For Internal Use 






E 








lib. 


Epsom Salts 






2 lbs. 


Effervescent Sodium Phosphate 






500 


Calomel 1 10 gr. and Sodium 
Bicarbonate 1 gr. 






4 oz. 


Sodium Bicarbonate 






-t oz. 


Jamaica Ginger 






-toz. 


Aromatic Spirits of Ammonia 






Iqt. 


Elixir Viburnum Opulus Compoimd 




1 box 


Amyl Nitrate Pearls 






4 


4-ounce Bottle Chloroform 






1 lb. 


Up Johns Phenolax Wafers 






2 oz. 


Tincture Benzoin Compound 






8 oz. 


Castor Oil (deodorized) 

Hypodermic Tablets 






1 tube 


Morphine Sulphate, 's gr. 






1 tube 


Strychnine Sulphate, ..\t gi"- 






1 tube 


Atropine Sulphate, 1 150 gr. 








TotalE 


_$7.57 






V 










^, 


Pf 


i . ii*" ■ 






1 




1 - 






r 




a 



First Aid Practice for Factory Dispensaries 




MEDICINES 




For External Use 


¥ 




1 qt. 


Formaldehyde 


1 qt. 


Alcohol (best 95% grain) 


1 qt. 


Glycerine and Carbolic Acid, 39c 


1 11). 


Bichloride Tablets (Corrosive Sublimate) 


1 11). 


Carbolic Acid Crystals 


1 11). 


Boric Acid Powder 


2 lbs. 


Seller's Tablets 


K lb. 


Boric Acid Ointment. 10% 


1 lb. 


Vaseline 


4 oz. 


Tincture lodin 


'•2 oz. 


Solution Silver Nitrate (10% strength) 


1 oz. 


Adrenalin Chloride 


'i sticks Silver Nitrate (in holders) 


1 tube Cocaine Hydrochlorate (2'/4 gr.) 


1 tube Ethylchloride 


1 drams Oil of Cloves 




Total F _$9.53 


ri 








^4^4 



First Aid Practice for Factory Dispensaries 

ACCESSORIES 

^2 dozen Medicine Droppers 
dozen Eye Baths (glass) 
Steel Tape, 6' 
Collins Tongue Forceps 
Yankauer's Mask 
Tycos Clinical Thermometers 
Kock Razor 

Hypodermic Syringe (all metal case) 
Magnifying Glass 
box Applicators (wooden) 
box Tongue Depressors (wooden) 
Mouth Gag (wooden) 
Liquid Soap Container and >^ gal. Soap 
pint Liquid Antiseptic Soap 
2 2^-quart Pitchers (white enamel) 

2 6-inch Basins, deep style (white enamel) 

2 12-inch Basins, shallow style (white enamel) 

1 5-inch Funnel (white enamel) 

1 9^-inch Pus Basin (white enamel) 

1 8-inch Pus Basin (white enamel) 



89 





First Aid Practice for Factory Di. 


pensaries 




ACCESSORIES— Conti 


nued 


G- 


2 






1 




Knife Tray (white enamel) 




1 




Shaker (nickel) complete with strainer 


yi 


doz 


Tumblers (No. 632) 




% doz 


Cups and Saucers (C. & S.) W 


. C. Derby 


y^ 


doz 


Teaspoons (Windsor 1881) 




i 




Tablespoons (Windsor 1881) 




1 




8-ounce Glass Graduate 
Medicine Glasses 




'i 


prs. 


Rubber Gloves (medium) Xo. 


7K 


2 




Ice Bags 




y 


doz 


2-quart Hot Water Bottles 




1 




Electric Heating Pad, Xo. 40,800 


] 




Morrison Pad, 20" 




1 




2-quart Glass Jar 




2 




3- quart Glass Jars 




1 


roll 


Paraffin Paper 




>4 


doz 


Hand Brushes, plain, unvarnis 


led backs 


1 




Long Pen Tray (glass) 




1 




Square Ink Well (all glass) 




1 




Practical Desk Calender 





First Aid Practice for Factory Dispensaries 




ACCESSORIES— Continued 




1 yd. P. G. Tubing, H" 


1 yd. Rubber Sheeting 


1 doz. Rubber Finger Cots 


2 Surgeons' Aprons 


1 doz. Dupree Formaldehyde Fumigators 


1 Formaldehyde Spraying Machine 


4 1 -gallon bottles labeled as follows: 
Bichloride 1/1000 
Carbolic 1 20 
Sat. Boric 
Sterile Water 


10 2-ounce Amber Tincture Bottles and 
stand. Seven of these bottles with Glas- 
sine labels as follows: 


Silver Nitrate 10% 

Silver Nitrate 2% 

Cocaine 4% 

Cocaine 2% 

Tr. lodin 

Tr. lodin 2% 

Adrenaline 1/1000 ^ 

t 


\ 


] 




J- 


S 


P 





First Aid Practice for Factory Dispensaries 



ACCESSORIES— Continued 

1 Amber Droj) Bottle with Glassine label: 

Chloroform 

1 Crystal Drop Bottle with Glassine label: 
Ether 

■4 (loz. 8-oimce Ointment Jars (opal) 

Two of the above Ointment Jars with 
Glassine labels as follows: 
Vaseline 
Boric Acid 

1 1-ounce Bottle with Glassine label as 

follows : 

Oil of Cloves 
Wide-mouthed glass-stoppered bottles 






First Aid Practice for Factory Dispensaries 



ACCESSORIES— Concluded 

G-4 

4 4-ouiice bottles with Glassine labels as 
follows : 

Calomel (1 10 gr.) 
Sod. Bicarb. (1 gr.) 
Seller's Tablets 
Sod. Bicarb. 
Bichloride (7)4 gr.) 

3 8-ounce bottles with Glassine labels as 

follows : 

Epsom Salts 

Sod. Phos. Effervesc. 

Boric .\cid 

4 1-quart narrow-mouthed, glass-stoppered 

Tincture Bottles, with Glassine labels 
as follows: 

Alcohol 

Formaldehyde 

Liquid Soap 

Carbolic Acid, 3% Glycerine 

4 4-ounce narrow-mouthed, glass-stoppered 
Tincture Bottles, with Glassine labels 
as follows: 

Jamaica Ginger 

Syr. Ipecac 

Eliz. Viburnum Op. Comp. 

Spts. Ammon. Arom. 

Total G $69.03 






I ^ 



;ff 



/ 




94 



First Aid Practice for Factory Dispensaries 




REST ROOM FURNITURE 


A 




-t 


"National" Hospital Cots 




(white enamel frame) 


4 


Hair Mattresses for Cots 


8 


No. 2 Pillows for Cots 


4 


Screens (complete with panels) 


4 


Steel Chairs (white enamel) 


4 


Hat and Coat Racks 


1 


Mirror 




Total A $155.60 




REST ROOM LINENS 


B 




4 


Sets Screen Panels 


2 doz. Pillow Slips, 45" x 36" | 




marked "DISPENSARY" 


2 doz. Pequot Sheets, 54" x 90" | 




marked "DISPENSARY" 


8( 


nly Double Blankets— Buffalo 10-4 (gray) 


1 doz. Allendale Spreads 


4 doz. Markings "DISPENSARY" 




Total B $61.50 





SHK LIBRARY OF CONGRESS msm 

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022 216 414 A! 



